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Nonprofiteer
← MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Form 990 for tax year 2023

Filed by MCKENZIE COUNTY HEALTHCARE SYSTEMS INC.

Totals

Total revenue
$65,053,793
Total expenses
$58,033,166
Contributions and grants received
$13,164,480
Grants paid
$0
Program service revenue
$51,824,222
Investment income
$389,988
Other revenue
-$324,897
Total assets, end of year
$112,198,103
Total liabilities, end of year
$69,889,231
Net assets or fund balances, end of year
$42,308,872
Program services expenses (Part IX)
$47,324,986
Management and general expenses
$10,708,180
Fundraising expenses
$0
Program service expenses (Part III)
$47,324,986

Program services were 81.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $2,641,173

  • 1e · Government grants (contributions)

    $10,097,899

  • 1f · All other contributions, gifts and grants

    $425,408

  • 2a · Program service revenue: Hospital Patient Service Revenue

    total $34,658,891 · related or exempt $34,658,891

  • 2b · Program service revenue: Clinic Service Revenue

    total $6,867,986 · related or exempt $6,867,986

  • 2c · Program service revenue: Nursing Home Service Revenue

    total $5,393,619 · related or exempt $5,393,619

  • 2d · Program service revenue: 340B Pharmacy Revenue

    total $3,258,395 · related or exempt $3,258,395

  • 2e · Program service revenue: Assisted Living Rental

    total $455,901 · related or exempt $455,901

  • 2f · All other program service revenue

    total $1,189,430 · related or exempt $715,232 · unrelated business $474,198

  • 3 · Investment income

    total $329,961 · excluded $329,961

  • 6a · Gross rents

    real property $534,687

  • 6b · Less rental expenses

    real property $859,584

  • 6c · Rental income or loss

    real property -$324,897

  • 6d · Net rental income or loss

    total -$324,897 · unrelated business -$6,672 · excluded -$318,225

  • 7a · Gross sales of assets other than inventory

    other assets $60,027

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $60,027

  • 7d · Net gain or loss

    total $60,027 · excluded $60,027

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,303,011 · program services $114,701 · management and general $1,188,310

  • 6 · Compensation of disqualified persons

    total $300,521 · management and general $300,521

  • 7 · Other salaries and wages

    total $19,995,348 · program services $17,901,876 · management and general $2,093,472

  • 8 · Pension plan contributions

    total $691,805 · program services $646,647 · management and general $45,158

  • 9 · Other employee benefits

    total $2,096,345 · program services $1,546,183 · management and general $550,162

  • 10 · Payroll taxes

    total $1,388,841 · program services $1,155,018 · management and general $233,823

  • 11b · Fees: legal

    total $78,766 · management and general $78,766

  • 11c · Fees: accounting

    total $94,849 · management and general $94,849

  • 11g · Fees: other

    total $17,281,075 · program services $14,009,041 · management and general $3,272,034

  • 12 · Advertising and promotion

    total $234,736 · program services $38,408 · management and general $196,328

  • 13 · Office expenses

    total $668,617 · program services $449,482 · management and general $219,135

  • 14 · Information technology

    total $503,199 · management and general $503,199

  • 16 · Occupancy

    total $629,581 · program services $554,679 · management and general $74,902

  • 17 · Travel

    total $531,530 · program services $470,355 · management and general $61,175

  • 19 · Conferences, conventions and meetings

    total $171,497 · program services $125,449 · management and general $46,048

  • 20 · Interest

    total $1,406,440 · program services $1,192,098 · management and general $214,342

  • 22 · Depreciation, depletion and amortization

    total $5,700,821 · program services $4,793,395 · management and general $907,426

  • 23 · Insurance

    total $414,506 · program services $139,918 · management and general $274,588

  • 24a · Other expenses: Medical Supplies

    total $1,972,093 · program services $1,972,093

  • 24b · Other expenses: Pharmaceuticals

    total $996,466 · program services $996,466

  • 24c · Other expenses: Food Service Supplies

    total $531,572 · program services $529,584 · management and general $1,988

  • 24d · Other expenses: Repairs and Maintenance

    total $510,687 · program services $484,592 · management and general $26,095

  • 24e · All other expenses

    total $530,860 · program services $205,001 · management and general $325,859

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,807,834 · end of year $3,024,500

  • 3 · Pledges and grants receivable

    beginning of year $5,324,223 · end of year $3,992,323

  • 4 · Accounts receivable

    beginning of year $7,655,818 · end of year $9,237,755

  • 8 · Inventories for sale or use

    beginning of year $1,037,389 · end of year $1,584,540

  • 9 · Prepaid expenses and deferred charges

    beginning of year $618,785 · end of year $485,653

  • 10a · Land, buildings and equipment: cost or other basis

    $115,911,058

  • 10b · Land, buildings and equipment: accumulated depreciation

    $46,356,127

  • 10c · Land, buildings and equipment, net

    beginning of year $71,205,401 · end of year $69,554,931

  • 11 · Investments: publicly traded securities

    beginning of year $14,693,173 · end of year $23,532,439

  • 15 · Other assets

    beginning of year $359,193 · end of year $785,962

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,621,798 · end of year $6,577,103

  • 19 · Deferred revenue

    end of year $800

  • 21 · Escrow or custodial account liability

    beginning of year $74,070 · end of year $72,478

  • 23 · Secured mortgages and notes payable

    beginning of year $67,190,540 · end of year $62,805,316

  • 25 · Other liabilities

    beginning of year $20,000 · end of year $433,534

  • 27 · Net assets without donor restrictions

    beginning of year $34,795,408 · end of year $42,308,872

Mission and programs · 2023

Mission

Mckenzie County Healthcare Systems is a faith-based organization dedicated to professional, compassionate and quality healthcare.

Activities or mission (Part I)

Health care service provider.

  • McKenzie County Healthcare Systems provides 24 hour x 7 days a week services. MCHS provided in-patient, observation, and swing bed services and obstetrics - hospital - total inpatient/observation days -1,213. Total swing bed days -1,046. MCHS offers various other services. They offer Ortho, Gen Surgery, Urol and ENT. Total Surgeries - 1015.The emergency room is open 24 hours a day, 7 days a week. Total Emergency Room visits - 5,673. The laboratory is located within the Hospital facility. Birthday lab screenings are available to the community at the hospital at a reduced rate. Total lab procedures - 64,202; Total births 99; Total clinic visits -19,775.

    Expenses $34,858,381 · Revenue $38,632,518

  • The McKenzie County Healthcare System (MCHS) Good Shepherd Home (GSH) is a 47 bed skilled nursing home with an attached 9-bed basic care unit. The GSH offers Day Care and/or Respite Care for those caring for a loved one in their home. A Dementia Support Group is offered to families. They maintain regular Resident Family Council Meetings. Along with qualified nursing care and staff, social services, physical therapy, occupational therapy, restoration nursing, laundry, housekeeping, beautician services, and activity programs are offered (beautician and activities held when COVID conditions allow). Visitors are welcome when COVID conditions allow; regular electronic "visits" are arranged otherwise. Pastoral care and chapel are offered 7 days a week. Activities include birthday parties, musical groups, baking, and bus trips. The Skilled Nursing total percent of occupancy has been 85%.

    Expenses $3,344,868 · Revenue $5,393,619

  • The MCHS Clinic (Rural Health Clinic) maintains the same mission as the Hospital. It provides care Monday through Friday. The RHC recently started conducting Telehealth visits as rendering providers due to COVID. A full-time contracted locum physician group provide Emergency Room Coverage at the hospital 24 hours a day x 7 days a week as well as 7 day a week Urgent Care coverage from 8am to 8pm utilizing mid-level providers. An RHC provider offered regular visits to the Good Shepherd Home. Both the Value Based Program involvement as well as our Visiting Nurse Program have been a great asset to the clinic, providing care to homebound patients within our community. After the onset of the COVID-19 pandemic the RHC developed point-of-care services and rapid testing for the community.

    Expenses $8,778,102 · Revenue $6,867,986

  • Horizon Assisted Living provides assisted and independent living services. It consists of 15 apartments that provide a 24 hour call system to health care personnel. The staff is dedicated to helping seniors live at their highest level of independence and ability. Its percent of occupancy is currently at 95.6%.

    Expenses $343,635 · Revenue $455,901

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gary Brown

    Chair

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Justin Voll

    Vice-chair

    Total calculated
    $0
    Hours/week
    1
  • Randy Quale

    Treasurer

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Jan Dodge

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Virginia Ceynar

    Director

    Total calculated
    $0
    Hours/week
    1
  • Kristen Heen

    Director (As of Jan)

    Total calculated
    $0
    Hours/week
    1
  • Yolanda Rojas

    Director

    Total calculated
    $0
    Hours/week
    1
  • Monty Bulzomi

    Director

    Total calculated
    $0
    Hours/week
    1
  • Chase Wisness

    Director

    Total calculated
    $0
    Hours/week
    1
  • Tammy James

    Director (Until Dec)

    Total calculated
    $0
    Hours/week
    1
  • Peter Edis

    CEO

    Total calculated
    $342,507
    From this org
    $301,617
    From related orgs
    $0
    Other
    $40,890
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,492
    Bonus
    $51,125
    Other
    $0
    Deferred
    $34,025
    Nontaxable benefits
    $6,865
    Filer's total
    $342,507
  • Theo Stoller

    COO

    Total calculated
    $155,367
    From this org
    $116,318
    From related orgs
    $0
    Other
    $39,049
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $116,318
    Bonus
    $0
    Other
    $0
    Deferred
    $12,047
    Nontaxable benefits
    $27,002
    Filer's total
    $155,367
  • Cheryl Batchelor

    Interim CFO (Until Sept)

    Total calculated
    $0
    Hours/week
    37 + 3 related
  • William Merkle

    CFO (As of Sept)

    Total calculated
    $90,603
    From this org
    $50,654
    From related orgs
    $0
    Other
    $39,949
    Hours/week
    37 + 3 related
  • Cheryl Faulkner

    CNO

    Total calculated
    $166,011
    From this org
    $134,300
    From related orgs
    $0
    Other
    $31,711
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,300
    Bonus
    $0
    Other
    $0
    Deferred
    $8,501
    Nontaxable benefits
    $23,210
    Filer's total
    $166,011
  • Dr Gary Ramage

    Medical Director, Physician

    Total calculated
    $416,079
    From this org
    $376,136
    From related orgs
    $0
    Other
    $39,943
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $376,136
    Bonus
    $0
    Other
    $0
    Deferred
    $19,800
    Nontaxable benefits
    $20,143
    Filer's total
    $416,079
  • Dr Ravindra Joshi

    Orthopedic Surgeon

    Total calculated
    $1,204,781
    From this org
    $1,184,581
    From related orgs
    $0
    Other
    $20,200
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $995,140
    Bonus
    $189,441
    Other
    $0
    Deferred
    $10,285
    Nontaxable benefits
    $9,915
    Filer's total
    $1,204,781
  • Dr Yolanda Newton

    Medical Doctor

    Total calculated
    $549,427
    From this org
    $524,535
    From related orgs
    $0
    Other
    $24,892
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $524,535
    Bonus
    $0
    Other
    $0
    Deferred
    $5,968
    Nontaxable benefits
    $18,924
    Filer's total
    $549,427
  • Dr Trevor Thorpe

    Interim Anesthesia Chief

    Total calculated
    $399,472
    From this org
    $353,064
    From related orgs
    $0
    Other
    $46,408
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $353,064
    Bonus
    $0
    Other
    $0
    Deferred
    $18,207
    Nontaxable benefits
    $28,202
    Filer's total
    $399,473
  • Dr Kathryn Kovar

    CRNA

    Total calculated
    $349,900
    From this org
    $321,817
    From related orgs
    $0
    Other
    $28,083
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $321,817
    Bonus
    $0
    Other
    $0
    Deferred
    $18,135
    Nontaxable benefits
    $9,948
    Filer's total
    $349,900
  • Dr Paul Dearing

    Medical Doctor

    Total calculated
    $310,148
    From this org
    $297,000
    From related orgs
    $0
    Other
    $13,148
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $297,000
    Bonus
    $0
    Other
    $0
    Deferred
    $13,148
    Nontaxable benefits
    $0
    Filer's total
    $310,148
  • Daniel Kelly

    Former President

    Total calculated
    $203,472
    From this org
    $180,151
    From related orgs
    $0
    Other
    $23,321
    Hours/week
    0 + 19.85 related

    Schedule J breakdown matched by us

    Base
    $158,651
    Bonus
    $0
    Other
    $21,500
    Deferred
    $9,812
    Nontaxable benefits
    $13,509
    Filer's total
    $203,472

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Housing allowance or residence for personal use
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 1b · Written policy on the line-1a expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
Dr. Yolanda Newton, Dr. Trevor Thorpe, and Dr. Kathryn Kovar received residence for personal use at no cost or below fair market value. These amounts have not been included in their W2 taxable income.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • McKenzie County Healthcare Systems Properties

    C · Property Management · ND · 100% owned · share of income $39,700 · share of assets $386,566 · controlled entity

    Directly controlled by McKenzie County Healthcare Systems Inc

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202531359349313813

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